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Therapeutic benefit of combining calorie-restricted ketogenic diet and glutamine targeting in late-stage experimental glioblastoma

Purna Mukherjee, Zachary M. Augur, Mingyi Li

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Collin Hill, Bennett Greenwood, Marek A. Domin, Gramoz Kondakci, Niven R. Narain, Michael A. Kiebish, Roderick T. Bronson, Gabriel Arismendi-Morillo, Christos Chinopoulos, Thomas N. Seyfried

2019 · Communications Biology

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1.5
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3
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3
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3
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From the abstract

AbstractGlioblastoma (GBM) is an aggressive primary human brain tumour that has resisted effective therapy for decades. Although glucose and glutamine are the major fuels that drive GBM growth and invasion, few studies have targeted these fuels for therapeutic management. The glutamine antagonist, 6-diazo-5-oxo-L-norleucine (DON), was administered together with a calorically restricted ketogenic diet (KD-R) to treat late-stage orthotopic growth in two syngeneic GBM mouse models: VM-M3 and CT-2A. DON targets glutaminolysis, while the KD-R reduces glucose and, simultaneously, elevates neuroprotective and non-fermentable ketone bodies. The diet/drug therapeutic strategy killed tumour cells while reversing disease symptoms, and improving overall mouse survival. The therapeutic strategy also reduces edema, hemorrhage, and inflammation. Moreover, the KD-R diet facilitated DON delivery to the brain and allowed a lower dosage to achieve therapeutic effect. The findings support the importance of glucose and glutamine in driving GBM growth and provide a therapeutic strategy for non-toxic metabolic management.

Metadata: Crossref. Abstracts retain their original authors’ rights.

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3 selected excerpts · 3 total mentions

systemsignal
Strong recommendation · rule
Highly recommend looking into the work of Thomas Seyfried, the metabolic theory of cancer, press-pulse approach, glutamine targeting Press-Pulse approach described: https://www.youtube.com/watch?v=q7kOs6bS1Hg&t=7185s (~ keto+exercise+hyperbaric oxygen therapy+standard approaches which become more effective) https://nutritionandmetabolism.biomedcentral.com/articles/10... https://www.bc.edu/bc-web/bcnews/science-tech-and-health/bio... https://www.nature.com/articles/s42003-019-0455-x https://pmc.ncbi.nlm.nih.gov/articles/PMC8200410/ https://www.youtube.com/watch?v=6PJfOFTaYow
mromanuk
Neutral mention · rule
BTW, saying that someone "is a bit of a quack" is an ad hominem fallacy. The article linked talks about the "keto" part of the protocol, it does not discuss the glutamine portion of the treatment. I'm not sure who is right, but I would love to see, someone debunking it with data. Protocol: https://www.nature.com/articles/s42003-019-0455-x
mindviews
Neutral mention · rule
A couple of interesting publications on Glioblastoma treatment that might be pointing in the right direction for targeting glucose and glutamine starting with mouse models: https://www.nature.com/articles/s42003-019-0455-x and progressing to human case study: https://www.ncbi.nlm.nih.gov/pubmed/29651419

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